Active NPI
Henry H Truong, M.D.
- Emergency Medicine Physician
- Salem, OR
National Provider Identifier
1790972982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A113088
- Practice address
- 890 Oak St SE
Department of Emergency Medicine
Salem, OR 97301-3905 - Phone
- (626) 485-1399
- NPI assigned
- Oct 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A113088 | CA | Primary |
Addresses
Primary practice location
890 Oak St SE
Department of Emergency Medicine
Salem, OR 97301-3905
Mailing address
890 Oak St SE
Department of Emergency Medicine
Salem, OR 97301-3905
Phone (626) 485-1399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A113088 | Other | CA | MEDICAL LICENSE |
| 390200000X | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Emergency Physicians Service, PC | Emergency Medicine | Current | Accepting new patients |
| Salem Health West Valley | Current | Accepting new patients | |
| Salem Health | Past | Accepting new patients |
Locations
525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344
1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301
890 Oak St SE
Bldg A
Salem, OR 97301
Phone (503) 370-5634
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Salem, OR
- NPI 1063454395
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1790972982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 OAK ST SE",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013905",
"telephone_number": "626-485-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 OAK ST SE",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013905",
"telephone_number": "626-485-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "HENRY",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A113088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A113088",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390200000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.